Provider Type Icon

NORTH BROOKFIELD EMERGENCY SQUAD NPI 1124004486


NPI Information

NPI: 1124004486
Provider Name: NORTH BROOKFIELD EMERGENCY SQUAD
Classification: Ambulance - 341600000X
Entity Type: Organization

CLIA Number: 22D1049502

Address:
56 SCHOOL ST
NORTH BROOKFIELD, MA
ZIP 01535
Phone: (508) 867-6308
Get Directions

NORTH BROOKFIELD EMERGENCY SQUAD is an ambulance in North Brookfield, MA. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). NORTH BROOKFIELD EMERGENCY SQUAD NPI is 1124004486. The provider is registered as an organization entity type.

The provider's business location address is:

56 SCHOOL ST
NORTH BROOKFIELD, MA
ZIP 01535-927
Phone: (508) 867-6308

The provider's authorized official is Pat Kiritsy .
The authorized official title is Chief and has the following contact phone number (508) 867-6308.

The CLIA number assigned to this NPI record is 22D1049502 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/19/2005 and was last updated on 9/27/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1341600000XAmbulance3295MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1604270OTHERHARVARD PILGRIM
2=========OTHERTRICARE
3000000028196OTHERBMC HEALTHNET PLAN
40019310OTHERNEIGHBORHOOD HEALTH
5337448OTHERTUFTS HEALTH
6070059OTHERMASSACHUSETTSBLUE CROSS BLUE SHIELD
7590010496OTHERRR MEDICARE
81700669MEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.